As states anticipate Medicaid shortfalls, hospitals urge Congress to bolster commercial plan enrollment
Hospitals are emphasizing steps to boost commercial health plan enrollment over Medicaid enrollment.
The increased uninsured population and changes in coverage for others requires healthcare finance departments to revise their practices
As a result of unemployment, insurance coverage has changed for millions of Americans, making it more important than ever for healthcare providers to offer financial counseling, community outreach and patient education.
Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19
Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.
April 23 deadline looms for hospitals in ‘high-impact’ COVID-19 areas to provide information to receive CARES Act funds
Hospitals hit by COVID-19 cases face a tight deadline to let HHS know they are interested in new funding that will be distributed next week.
COVID-19’s impact on healthcare purchasers’ balance sheets will drive cost reduction efforts after the pandemic
HFMA's Chad Mulvany anticipates a combination of efforts to reduce the growth in per unit prices of healthcare and to reduce the total cost of care on the healthcare delivery system side after the pandemic.
Rural hospital finances hit hard by looming threat of COVID-19 as leaders scramble to preserve cash
Although most healthcare providers are likely to take a financial hit from the coronavirus pandemic, rural hospitals are especially vulnerable and are scrambling to preserve cash.
Will the value-based movement be re-energized in the wake of the coronavirus pandemic and its impact on national health expenditure?
HFMA's Chad Mulvany says he hopes healthcare payers and providers will be able to use the coronavirus crisis and the resulting impact on the national health expenditure as a catalyst to revive the value-based movement.
Risk-based contracting in the time of coronavirus
The APM target prices/benchmarks are among the many policy issues beyond paying for surge capacity that CMS, commercial health plans and providers will need to work through in the wake of the coronavirus outbreak.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Prior-authorization cost and time burdens increase for providers, report finds
Provider burdens from health plans’ use of prior authorization continue to mount amid calls to make the process fully automated.